Effect of previous abdominal surgery on short-term outcomes following laparoscopic colorectal surgery.

2014 ◽  
Vol 32 (3_suppl) ◽  
pp. 653-653
Author(s):  
Masanori Hotchi ◽  
Yuhei Waki ◽  
Kazunori Tokuda ◽  
Masayoshi Obatake ◽  
Hiroshi Kotegawa ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Abdominal Surgery ◽  
Sigmoid Colon ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Operating Time ◽  
Short Term ◽  
Conversion To Open Surgery ◽  
Previous Abdominal Surgery ◽  
The Impact

653 Background: The impact of previous abdominal surgeries on the need for conversion to open surgery and on short-term outcomes during/after laparoscopic colorectal surgery was retrospectively investigated. This retrospective cohort study was conducted from May 2004 through October 2012. This study was conducted at Tokushima University Hospital and Ehime Prefectural Central Hospital. Methods: A total of 145 consecutive patients who had undergone laparoscopic resection of the sigmoid colon and upper rectum were classified as not having previous abdominal surgery (NPAS group, n = 123) or as having previous abdominal surgery (PAS group, n = 22). Short-term outcomes were assessed between the two groups. Results: The population of previous abdominal surgery consisted of 6 appendectomy, 3 gastrectomy for gastric ulcer, 2 nephrectomy, 2 peritonitis and 11 others (2 duplication). There were no significant differences in age, gender, BMI, tumor location, tumor size, Stage, operating time, blood loss and number of lymph node harvest between the two groups. The conversion to open surgery was performed in 1 patient (4.5%) in the PAS group and 6 patients (4.9%) in the NPAS group. The intraoperative inadvertent enterotomy occurred in 1 patient in the NPAS group. There was no difference in postoperative morbility between the two groups. In the NPAS group, anastomotic leakage was observed in 3 cases. Ileus was observed in one case in the NPAS and none in the PAS. Postoperative hospital stay was 14 days in the PAS group and 16 days in the NPAS group. Conclusions: Short-term outcomes following laparoscopic surgery for sigmoid colon and upper rectal cancer with previous abdominal surgery are acceptable.

scholarly journals Short-term outcomes after laparoscopic colorectal surgery in patients with previous abdominal surgery: A systematic review

2016 ◽  
Vol 8 (7) ◽  
pp. 533 ◽  
Author(s):  
Marleny Novaes Figueiredo ◽  
Fabio Guilherme Campos ◽  
Luiz Augusto D’Albuquerque ◽  
Sergio Carlos Nahas ◽  
Ivan Cecconello ◽  
...  
Keyword(s):  
Systematic Review ◽  
Colorectal Surgery ◽  
Abdominal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Short Term ◽  
Previous Abdominal Surgery

The impact of previous open abdominal surgery on the outcome of laparoscopic colorectal surgery

2021 ◽  
Vol 28 (12) ◽  
pp. 2122
Author(s):  
Ismail Eray ◽  
Ugur Topal ◽  
Orcun Yalav ◽  
Kubilay Dalci ◽  
Ahmet Saritas ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Abdominal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Open Abdominal Surgery ◽  
The Impact

Effect of Previous Abdominal Surgery on Outcomes Following Laparoscopic Colorectal Surgery

2013 ◽  
Vol 56 (3) ◽  
pp. 336-342 ◽  
Author(s):  
Masashi Yamamoto ◽  
Junji Okuda ◽  
Keitaro Tanaka ◽  
Keisaku Kondo ◽  
Keiko Asai ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Abdominal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Previous Abdominal Surgery

scholarly journals Conversion from Laparoscopic to Open Cholecystectomy

2015 ◽  
Vol 1 (1) ◽  
pp. 30-32 ◽  
Author(s):  
Samir Shrestha ◽  
Surendra S Shah ◽  
Sanjay Poudyal ◽  
Jay N Shah ◽  
Vijay Kumar Jaiswal
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Surgery ◽  
Open Surgery ◽  
Open Cholecystectomy ◽  
Health Sciences ◽  
Conversion To Open Surgery ◽  
Open Conversion ◽  
Previous Abdominal Surgery ◽  
Calot’S Triangle ◽  
Duration Of Surgery

Introductions: With the advent of newer technology, the era of open surgery for gall bladder diseases has been preferably taken over by laparoscopic cholecystectomy. However, certain cases still require conversion to open surgery. In this review we aim to analyze the reason for conversion. Methods: This retrospective study was conducted at Patan Hospital, Patan Acdemy of Health Sciences, Nepal. All patients who underwent laparoscopic cholecystectomy from February 2009 to July 2012 were included in the study. File numbers of all the patients were obtained from operation room register. The patient files were analyzed for age, sex, duration of symptoms, liver function tests, ultrasound findings and the description in operation note for reason for conversion. Results: The age ranged from 12 to 81 years with mean age of patients 32.76 years and male to female ratio 1:2.9. The mean operating time was 65 minutes and average post operative hospital stay was 1.61 days. Out of 305 patients, 34 (11.14%) required open conversion. Factors responsible for open conversion were dense fibrosis at Calots in 11 (3.6%), adhesions due to previous abdominal surgery in 6 (1.9%), uncontrollable bleeding in 5 (1.6%), bile duct injury in 4 (1.3%) cholecystoenteric fistula in 3 (0.9%), Mirizzi’s syndrome 2(0.6%). Conclusions: Adhesions at the calot’s triangle was the common reason for conversion from laparoscopic to open cholecystectomy. Plain Language Summary: This study was conducted to determine the predictive factors for conversion of laparoscopic cholecystectomy. The study found that dense adhesion around calot’s triangle and adhesions pertaining to previous abdominal surgery were the main reasons for conversion to open surgery. So, before embarking on laparoscopic cholecystectomy, it is essential to take detail history and examination, to rule out the probable cause of conversion beforehand and minimize; morbidity, duration of surgery and cost. DOI: http://dx.doi.org/10.3126/jpahs.v1i1.13013 Journal of Patan Academy of Health Sciences. 2014 Jun;1(1):30-32 

scholarly journals Laparoscopic Redo Ileocolic Resection for Crohn’s Disease in Patients with Previous Multiple Laparotomies

2018 ◽  
Vol 108 (1) ◽  
pp. 42-48 ◽  
Author(s):  
V. Celentano ◽  
F. Sagias ◽  
K. G. Flashman ◽  
J. Conti ◽  
J. Khan
Keyword(s):  
Crohn’S Disease ◽  
Laparoscopic Surgery ◽  
Crohn's Disease ◽  
Abdominal Surgery ◽  
Conversion Rate ◽  
Operating Time ◽  
Ileocolic Resection ◽  
Short Term ◽  
Previous Abdominal Surgery ◽  
History Of

Purposes: Over 80% of patients with primary ileocolic Crohn’s disease have a surgical resection within 10 years of diagnosis, and 40%–50% of them need further surgery within 15 years. Laparoscopic surgery can be challenging due to a thickened mesentery and the potential for fistulas, abscesses, and phlegmons. Aim of this study is to analyze the short-term outcomes of laparoscopic redo ileocolic resections for Crohn’s disease in patients with previous multiple laparotomies. Methods: All patients undergoing laparoscopic surgery for ileocolic Crohn’s disease from March 2006 to February 2017 were prospectively evaluated. Short term outcomes of laparoscopic ileocolic resection were compared between patients with previous multiple major surgeries and recurrent Crohn’s disease, and patients undergoing surgery for the first presentation of Crohn’s disease and no history of previous surgery. Conversion rate and 30-day morbidity were the primary outcomes. Reoperations, readmissions, operating time and length of stay were the secondary outcomes. Results: 29 patients with recurrent Crohn’s disease and previous multiple laparotomies were included: the number of laparotomies these patients previously underwent was 2 in 19 cases (65.5%), 3 in 9 (31%), and 4 in 1 (3.5%). In total, 90 patients with no history of any previous abdominal surgery, who underwent laparoscopic ileocecal resection for Crohn’s disease, represented the control group. No differences were found in morbidity and conversion rate. Operating time was longer in patients with history of previous abdominal surgery. Conclusion: Laparoscopic redo ileocolic resection for Crohn’s disease is feasible and safe in patients with previous multiple laparotomies at the expense of longer operating time.

Laparoscopic Colorectal Surgery in Patients With Previous Abdominal Surgery

2017 ◽  
Vol 27 (6) ◽  
pp. 434-439 ◽  
Author(s):  
Erdinc Kamer ◽  
Turan Acar ◽  
Fevzi Cengiz ◽  
Evren Durak ◽  
Mehmet Haciyanli
Keyword(s):  
Colorectal Surgery ◽  
Abdominal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Previous Abdominal Surgery

scholarly journals Impact of Previous Abdominal Surgery on Laparoscopic Cystectomy/Oophorectomy Results: A Comparative Clinical Study

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Hazim W ◽  
Roszaman R
Keyword(s):  
Abdominal Surgery ◽  
Operating Time ◽  
Previous History ◽  
Cross Sectional ◽  
Conversion To Open Surgery ◽  
Ovarian Cystectomy ◽  
Previous Abdominal Surgery ◽  
Increased Risk ◽  
Significant Difference ◽  
Laparoscopic Cystectomy

Introduction: In the past, patients with previous abdominal surgery were discouraged from laparoscopic surgery because of perceived increased risk of bowel injury caused by needle and trocar insertion. However, data on the feasibility and safety of surgery of this nature is increasing. We aim to evaluate the surgical outcome of laparoscopic ovarian cystectomy/oophorectomy in previous abdominal surgery. Methods: This is a cross-sectional study with descriptive analysis of retrospective data collection from the electronic medical records of women with laparoscopic ovarian cystectomy/ oophorectomy from January 2000 until Dec 2008. Results from patients with previous abdominal surgery were compared with those of women without prior abdominal surgery. Results: Three hundred and seventeen (317) laparoscopic cystectomies/ oophorectomies were performed during the study period. 71 patients (22.5%) had previous history of abdominal surgery. Adhesions were found in 72% of patients versus 40% (p=0.001) who had previous abdominal surgery but the conversion to open surgery rate was similar (3%, p < 0.05). There was no significant difference in blood loss (134.1 ml ±18.6 vs 119.0 ml ± 9.5), operating time (107 min ± 42.0 versus 102.6 min ± 42.6) and postoperative hospital stay (1.92 days ± 1.0 vs 1.91 days ± 0.7 ). The incidence of peri-operative and post-operative complication showed no significant difference in those who had undergone previous abdominal surgery than those without prior abdominal surgery (p=0.7). The overall complication rate in this series was 0.32 %. Conclusion: Laparoscopic cystectomy/ oophorectomy in the previous abdominal surgery is safe with no increase in morbidity.

Conversion in laparoscopic colorectal surgery: Are short-term outcomes worse than with open surgery?

2016 ◽  
Vol 20 (12) ◽  
pp. 845-851 ◽  
Author(s):  
E. Gorgun ◽  
C. Benlice ◽  
M. A. Abbas ◽  
L. Stocchi ◽  
F. H. Remzi
Keyword(s):  
Colorectal Surgery ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Short Term
Sign in / Sign up

Export Citation Format

Share Document